As defined by the Centers for Medicare & Medicaid Services (CMS), a Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the quality of care delivered to people with Medicare. CMS’ QIO Program is one of the largest federal programs dedicated to providing better care and achieving better health outcomes for Medicare beneficiaries, all while at a lower cost. The core functions of the QIO Program include:
One of the types of QIOs established by CMS is the Beneficiary and Family Centered Care (BFCC) QIO. BFCC-QIOs help people who have Medicare exercise their right to high-quality healthcare. By working directly with beneficiaries and their family members, the BFCC-QIOs can leverage their experiences with the healthcare system, both positive and negative, to identify opportunities for improvement, develop solutions that put patients first, and promote lasting partnerships with the provider community.